Understanding Eating Disorders

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Questions and Answers

Why is it important to learn about eating disorders?

  • To better understand the interaction between physical and mental health.
  • To learn about the impact of society and culture on mental wellbeing.
  • Because early identification and intervention can prevent harm.
  • All of the above. (correct)

Which age group is most commonly affected by eating disorders?

  • Adult men aged 30-40 years old.
  • Older women aged 60-70 years old.
  • Adults of any age.
  • Young women aged 13 to 17 years old. (correct)

What percentage of individuals with eating disorders are estimated to be male?

  • Approximately 50%.
  • Around 75%.
  • Less than 5%.
  • Between 10% and 25%. (correct)

Which of the following is a characteristic of Anorexia Nervosa (AN) according to the DSM-V?

<p>Persistent restriction of energy intake leading to significantly low body weight. (A)</p> Signup and view all the answers

What is a primary characteristic of Bulimia Nervosa (BN)?

<p>A cycle of binging followed by compensatory behaviors. (A)</p> Signup and view all the answers

What differentiates Binge Eating Disorder (BED) from Bulimia Nervosa (BN)?

<p>Individuals with BED do not regularly engage in compensatory behaviors. (B)</p> Signup and view all the answers

Pica is characterized by:

<p>The consumption of non-food substances. (D)</p> Signup and view all the answers

What is Avoidant/Restrictive Food Intake Disorder (ARFID)?

<p>Persistent energy intake restriction. (D)</p> Signup and view all the answers

Which of the following is a DSM-V classification of an eating disorder?

<p>Unspecified Feeding or Eating Disorder (UFED). (D)</p> Signup and view all the answers

According to DSM-5 criteria, which of the following must be present for a diagnosis of anorexia nervosa?

<p>Significantly low body weight due to energy restriction. (A)</p> Signup and view all the answers

Which of the following best describes the 'restricting type' of anorexia nervosa?

<p>Severe restriction of food intake, potentially following rigid rules. (B)</p> Signup and view all the answers

What compensatory behavior is seen in bulimia nervosa but NOT in binge eating disorder?

<p>Vomiting. (C)</p> Signup and view all the answers

An individual with Bulimia Nervosa is MOST likely to exhibit with physical signs?

<p>Erosion of dental enamel. (A)</p> Signup and view all the answers

Why might an individual with an eating disorder engage in preparing food for others, as a warning sign?

<p>As a way of avoiding eating themselves, while still being around food. (A)</p> Signup and view all the answers

Which psychological factor is commonly associated with eating disorders?

<p>Feelings of inadequacy. (B)</p> Signup and view all the answers

What do psychodynamic theories emphasize in relation to eating disorders?

<p>Parent-child relationships and personality characteristics. (D)</p> Signup and view all the answers

According to cognitive behavioral theories, what perpetuates eating disorders?

<p>Irrational fear and body-image distortion. (C)</p> Signup and view all the answers

According to cognitive behavioral theories, what is one of the functions that cognitive distortions serve in individuals with eating disorders?

<p>To provide a sense of safety and control. (D)</p> Signup and view all the answers

What is primarily addressed in the first tier of anorexia nervosa treatment?

<p>Helping the patient to gain weight to avoid medical complications. (B)</p> Signup and view all the answers

Which therapy has demonstrated long-term effectiveness in treating bulimia nervosa:

<p>Cognitive Behavioral Therapy (CBT). (B)</p> Signup and view all the answers

Which of the following is the MOST accurate statement regarding Cognitive Behavioral Therapy (CBT) as a treatment for individuals with Bulimia Nervosa?

<p>CBT aims to help patients develop a healthier relationship with food and address maladaptive thought patterns. (D)</p> Signup and view all the answers

Anorexia Nervosa is NOT:

<p>A lifestyle choice. (C)</p> Signup and view all the answers

If a friend or loved one is suspected to be suffering from an eating disorder, what options are useful:

<p>All of the above. (D)</p> Signup and view all the answers

Which of the following physical symptoms or signs should prompt consideration of a possible eating disorder?

<p>Cold hands, weight loss, pale skin, and postural hypotension. (A)</p> Signup and view all the answers

What can be a result of bulimia?

<p>Heart attacks. (B)</p> Signup and view all the answers

Individuals suffering from anorexia are NOT always underweight.

<p>True (B)</p> Signup and view all the answers

Which of the following statements regarding eating disorders and mental health is MOST accurate?

<p>Researchers are unsure whether the problems develop because of the isolation, stigma, and physiological changes wrought by the eating disorders themselves. (D)</p> Signup and view all the answers

A defining feature of anorexia nervosa is a disturbance in the way in which one's body weight or shape is experienced. How might this manifest?

<p>An individual experiences an overestimation of their body size and may not recognize the seriousness of their low weight. (D)</p> Signup and view all the answers

The Maudsley Anorexia Nervosa Treatment for Adults (MANTRA) focuses:

<p>Tries to address factors that are known to maintain the anorexia in the individual. (D)</p> Signup and view all the answers

A researcher is investigating the prevalence of eating disorders across different cultural contexts. Which of the following statements best reflects a significant challenge in this area of study?

<p>Cultural norms can influence the expression and recognition of eating disorders, leading to potential underreporting or misdiagnosis. (D)</p> Signup and view all the answers

What is the MOST important reason to seek treatment?

<p>To avoid devastating the body and mind. (B)</p> Signup and view all the answers

Which of the following is the MOST accurate regarding bulimia?

<p>It is a serious mental health disorder. (C)</p> Signup and view all the answers

Which statement best reflects the aims of psychodynamic therapy in the treatment of eating disorders?

<p>Psychodynamic therapy aims to understand and treat the underlying adaptive function or purpose that the eating disorder serves for the individual. (C)</p> Signup and view all the answers

Which of the following could be the FIRST sign that somebody has an eating disorder?

<p>Pale skin and postural hypotension. (A)</p> Signup and view all the answers

Which term, once attributed to Hilde Bach, is most associated to psychodynamic theories?

<p>The problems of living. (A)</p> Signup and view all the answers

There are no physical impacts when suffering from an eating disorder.

<p>False (B)</p> Signup and view all the answers

What is lanugo?

<p>Thin white hair over body. (D)</p> Signup and view all the answers

According to the DSM-V, what is a characteristic shared by both the restricting type and the binge-eating/purging type of anorexia nervosa?

<p>Severe restriction of food intake. (D)</p> Signup and view all the answers

What is the primary focus of cognitive behavioral theories in explaining the persistence of bulimia nervosa (BN)?

<p>Faulty cognitions surrounding fear of weight gain and body-image distortion. (D)</p> Signup and view all the answers

Which of the following is a typical physical effect associated with bulimia nervosa (BN)?

<p>Erosion of dental enamel. (A)</p> Signup and view all the answers

What is a key characteristic of binge eating disorder (BED) as defined by the DSM-5?

<p>Experiencing a sense of lack of control during eating binges. (B)</p> Signup and view all the answers

Which statement best encapsulates the role of family-based therapy in the treatment of adolescent bulimia nervosa (BN)?

<p>It is considered the most established treatment. (C)</p> Signup and view all the answers

What is the primary initial goal in the treatment of anorexia nervosa?

<p>Helping the patient gain weight to avoid medical complications. (C)</p> Signup and view all the answers

Beyond weight restoration and addressing psychological issues, what is the third critical component in the tiered treatment approach for anorexia nervosa (AN)?

<p>The long-term maintenance of weight gain. (A)</p> Signup and view all the answers

How do psychodynamic theories conceptualize the role of eating disorder symptoms in the life of an individual?

<p>As expressions of a struggling inner self that, when addressed can aid recovery. (D)</p> Signup and view all the answers

What is the MOST accurate description of how eating disorders relate to an individual's choices?

<p>Eating disorders may begin with initial choices but become entrenched beyond conscious control. (A)</p> Signup and view all the answers

Which factor is LEAST likely to be emphasized by psychodynamic theories in explaining the development of eating disorders?

<p>Cognitive distortions. (C)</p> Signup and view all the answers

Which of the following statements BEST describes the relationship between eating disorders and mental health?

<p>Individuals with eating disorders have higher rates of certain other mental disorders. (A)</p> Signup and view all the answers

What is the MOST critical consideration when contemplating how to support a friend potentially struggling with an eating disorder?

<p>Offering unwavering support, while respecting their readiness to discuss and seek help. (B)</p> Signup and view all the answers

A researcher aims to design a study exploring the efficacy of different therapeutic interventions for anorexia nervosa in adults. Considering the information provided, what is a CRUCIAL methodological challenge they are MOST likely to encounter?

<p>Establishing a clear control group due to ethical obligations to provide treatment. (C)</p> Signup and view all the answers

An individual presents with symptoms indicative of an eating disorder, but their presentation doesn't neatly align with the diagnostic criteria for Anorexia Nervosa, Bulimia Nervosa, or Binge Eating Disorder. According to DSM-V classifications, which category would be MOST appropriate for initial consideration?

<p>Unspecified Feeding or Eating Disorder (UFED) (A)</p> Signup and view all the answers

Which of the following is NOT typically associated with eating disorders?

<p>Feelings of control over one's life (C)</p> Signup and view all the answers

What is a key distinction between anorexia nervosa (AN) and bulimia nervosa (BN)?

<p>AN is characterized by low body weight; BN may involve normal or above normal weight (D)</p> Signup and view all the answers

An individual consumes a bag of chips, a family size chocolate bar and a tub of ice cream in one sitting, and feels unable to stop while eating.

<p>Binge-Eating Disorder (C)</p> Signup and view all the answers

Which of the following involves eating items with no nutritional value?

<p>Pica (B)</p> Signup and view all the answers

What is the primary focus of Avoidant/Restrictive Food Intake Disorder (ARFID)?

<p>Restriction due to sensory issues, lack of interest in eating, or concern about aversive consequences (C)</p> Signup and view all the answers

What does OSFED stand for in the context of eating disorders?

<p>Other Specified Feeding or Eating Disorder (D)</p> Signup and view all the answers

Which of the following best describes the 'Binge-eating/purging type' of Anorexia Nervosa (AN)?

<p>Restriction of food intake, accompanied by episodes of binge eating and purging behaviors (B)</p> Signup and view all the answers

Poor circulation, irregular heartbeat and cardiac arrest is associated with which eating disorder?

<p>Anorexia Nervosa (A)</p> Signup and view all the answers

What is lanugo, as it relates to eating disorders?

<p>Growth of fine, downy hair all over the body (A)</p> Signup and view all the answers

What is a common psychological warning sign of Anorexia Nervosa?

<p>Distorted body image (D)</p> Signup and view all the answers

Radical changes in food preferences is a behavioral warning sign. Which disorder is this associated with?

<p>Anorexia Nervosa (A)</p> Signup and view all the answers

Which of the following is a behavioural warning sign specific to Bulimia Nervosa (BN)?

<p>Evidence of binge eating (D)</p> Signup and view all the answers

Frequent trips to the bathroom, especially after meals, is a warning sign of which eating disorder?

<p>Bulimia Nervosa (BN) (D)</p> Signup and view all the answers

Which of the following is a diagnostic criterion for Binge Eating Disorder (BED)?

<p>Binge eating with a sense of a lack of control (D)</p> Signup and view all the answers

An individual eats until they feel uncomfortably full. Which disorder does this apply to?

<p>Binge-Eating Disorder (D)</p> Signup and view all the answers

Which of the following is a potential physical effect of Binge Eating Disorder (BED)?

<p>Type 2 diabetes (B)</p> Signup and view all the answers

What is a common psychological characteristic of Binge Eating Disorder?

<p>Feelings of extreme distress after a binge episode (D)</p> Signup and view all the answers

Secretive behavior relating to food, such as hiding food wrappers around the house, is a warning sign of which eating disorder?

<p>Binge Eating Disorder (BED) (C)</p> Signup and view all the answers

Which of the following best reflect psychological factors associated with eating disorders?

<p>Low self-esteem, feelings of inadequacy, depression (C)</p> Signup and view all the answers

Within psychodynamic theories, Hilde Bruch suggested that eating disorders might represent:

<p>A solution or camouflage for problems of living (D)</p> Signup and view all the answers

What do psychodynamic theories suggest is crucial for the full recovery from an eating disorder?

<p>Understanding the function or purpose the eating disorder serves for the individual (B)</p> Signup and view all the answers

According to cognitive behavioral theories, what role does 'fear' play in the development and maintenance of eating disorders?

<p>Fear of increased weight makes weight loss a reinforcer (D)</p> Signup and view all the answers

In CBT, what is the role of cognitive distortions?

<p>To provide a sense of safety and control (B)</p> Signup and view all the answers

What is often the first goal in the treatment of anorexia nervosa?

<p>Weight gain to avoid medical complications (A)</p> Signup and view all the answers

In the treatment of anorexia nervosa, what is most commonly the second step after ensuring the patient is medically stable?

<p>Addressing the underlying psychological aspects of the illness (B)</p> Signup and view all the answers

Which treatment approach focuses on exploring an individual's strengths, resources, and values in anorexia nervosa?

<p>MANTRA (D)</p> Signup and view all the answers

What is an overall treatment aim in Bulimia Nervosa (BN) and Binge Eating Disorder (BED)?

<p>To develop healthy eating patterns (B)</p> Signup and view all the answers

Which of the following focuses on questioning society's standard for physical attractiveness?

<p>CBT for Bulimia (B)</p> Signup and view all the answers

What is one of the serious physical consequences that may result from bulimia?

<p>Worn-away tooth enamel (D)</p> Signup and view all the answers

What is the correlation between eating disorders and mental health?

<p>Those with eating disorders are at higher risk of mental disorders. (B)</p> Signup and view all the answers

Which of the following is a reason why eating disorders should be identified early?

<p>To prevent future harm (B)</p> Signup and view all the answers

A friend is showing potential warning signs of an eating disorder. Which of the following actions is MOST supportive?

<p>Encouraging and supporting them to seek professional help (A)</p> Signup and view all the answers

When trying to spot warning signs associated with a potential eating disorder, which should we consider?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following statements is NOT true of eating disorders?

<p>Eating disorders are a life-style choice. (B)</p> Signup and view all the answers

Why is it important to avoid being judgemental when providing support to a friend potentially suffering from and eating disorder?

<p>Judgment can push them further into secrecy and isolation (D)</p> Signup and view all the answers

Suppose an individual demonstrates all the core diagnostic features of anorexia nervosa (AN) but reports a complete lack of fear related to weight gain.

<p>Confirmation requires exploration of body image distortion or a non-fear based motivation for restriction. (C)</p> Signup and view all the answers

An individual with bulimia nervosa (BN) presents for treatment expressing persistent dissatisfaction with their therapist's supportive yet non-directive approach. They report a desire for more explicit guidance on managing interpersonal conflict associated with their eating.

<p>To accommodate the patient’s preference while adhering to empirically supported guidelines, consider integrating structured interpersonal skills training while maintaining a supportive therapeutic relationship. (D)</p> Signup and view all the answers

Consider an outpatient clinic serving a large, diverse community. The clinic aims to enhance its screening for eating disorders but faces limitations in staff training and resources. Which initial screening method best balances brevity, cost-effectiveness, and sensitivity across diverse presentations?

<p>Routinely asking two questions such as: &quot;Are you preoccupied with your weight?&quot; and &quot;Do you influence your weight through dieting? (B)</p> Signup and view all the answers

An individual regularly engages in intense exercise and significantly restricts their dietary intake with the primary goal of attaining an extremely lean and muscular physique. What eating disorder matches these symptoms?

<p>Other Specified Feeding or Eating Disorder (OSFED) (C)</p> Signup and view all the answers

A 16-year-old female, recently diagnosed with bulimia nervosa (BN) based on recurrent binge-purge cycles, expresses that one function that the binge-purge habit serves is that it distracts her from emotions associated with school stress and academic struggles. How would you categorise this with CBT?

<p>A potential demonstration of the role that negative reinforcement processes play in maintaining BN (D)</p> Signup and view all the answers

During an assessment, what is the central question to ask yourself to aid in appropriate diagnosis?

<p>What are the diagnostic criteria for this patient, and do the symptoms line up? (C)</p> Signup and view all the answers

According to DSM-5 criteria for Anorexia Nervosa (AN), what constitutes a disturbance in the experience of body weight or shape?

<p>Denial of the seriousness of one's current low body weight. (C)</p> Signup and view all the answers

What role does 'fear' play in the cognitive behavioral theories of eating disorders?

<p>Fear of weight and body-image distortion, caused by faulty cognitions, reinforce weight loss. (C)</p> Signup and view all the answers

What behavioral pattern is characteristic of the binge-eating/purging subtype of anorexia nervosa (AN)?

<p>Regular episodes of binge-eating and purging, alongside restriction. (B)</p> Signup and view all the answers

What is the initial primary goal in the treatment of anorexia nervosa?

<p>Weight gain to avoid medical complications. (B)</p> Signup and view all the answers

Which statement best characterizes Avoidant/Restrictive Food Intake Disorder (ARFID)?

<p>Restricted eating due to sensory issues, fears about aversive consequences, or lack of interest in eating. (B)</p> Signup and view all the answers

What is the MOST accurate regarding eating disorders?

<p>Eating disorders are complex conditions influenced by genetic, biological, behavioral, psychological, and social factors. (A)</p> Signup and view all the answers

What should you do if you're worried about a friend/loved one and suspect they may be suffering from an eating disorder?

<p>Encourage and support them in seeking help, and make a list of questions they can ask a professional. (C)</p> Signup and view all the answers

What is the main focus of Cognitive Behavioral Therapy (CBT) for bulimia nervosa (BN)?

<p>Challenging beliefs that encourage severe food restriction and questioning societal standards for physical attractiveness. (B)</p> Signup and view all the answers

What do psychodynamic theories emphasize in their explanations of eating disorders?

<p>Parent-child relationships and personality characteristics. (C)</p> Signup and view all the answers

An individual with bulimia nervosa (BN) must display:

<p>Recurrent binge eating episodes accompanied by compensatory behaviors to prevent weight gain. (B)</p> Signup and view all the answers

What is the distinction between bulimia nervosa (BN) and binge eating disorder (BED)?

<p>BN involves compensatory behaviors, whereas BED does not. (C)</p> Signup and view all the answers

What physiological occurrence is a potential physical sign symptom of anorexia nervosa (AN)?

<p>Irregular or absent menstrual periods. (B)</p> Signup and view all the answers

What is the significance of understanding the adaptive function or purpose that an eating disorder serves, according to psychodynamic theories?

<p>It leads to full recovery. (B)</p> Signup and view all the answers

Consider an individual presenting with recurrent episodes of consuming unusually large amounts of food, a sense of lack of control during these episodes, and marked distress afterward, yet consistently reports engaging in compensatory behaviors (such as misuse of laxatives, self-induced vomiting, stringent fasting or misuse of diuretics), but not due to concerns about their body shape or weight. In order to best match their symptoms to possible classifications that are recognised.

<p>Consider a primary diagnosis of obsessive-compulsive disorder (OCD): Acknowledge OCD and eating behaviours may be correlated but not necessarily causative (A)</p> Signup and view all the answers

An outpatient therapist, treating an patient, has delivered a structured treatment program for Bulimia Nervosa (BN) which involves monitoring daily food intake using ecological momentary assessment and psychoeducation about dietary habits. Despite moderate progress, the patient consistently reports persistent rigid food rules. Based on these factors, what element should the therapist MOST likely consider in their therapeutic approach?

<p>Integrating cognitive restructuring techniques to challenge and modify distorted beliefs about foods. (D)</p> Signup and view all the answers

According to the DSM-5 criteria, what is a key characteristic of Anorexia Nervosa (AN)?

<p>Distorted body image. (D)</p> Signup and view all the answers

What is a defining feature of bulimia nervosa (BN) as outlined by the DSM-5?

<p>Recurrent episodes of binge eating followed by compensatory behaviors. (A)</p> Signup and view all the answers

According to DSM-V, what is a key diagnostic criterion for binge eating disorder (BED)?

<p>Experiencing a sense of lack of control when eating large quantities of food. (D)</p> Signup and view all the answers

Which of the following feeding disorders involves eating non-nutritive substances?

<p>Pica (D)</p> Signup and view all the answers

Which factor differentiates rumination disorder from other eating disorders?

<p>Repetitive regurgitation of food that may be re-chewed, re-swallowed, or spit out. (C)</p> Signup and view all the answers

Which of the following is a DSM-5 diagnostic criterion for anorexia nervosa?

<p>Lack of recognition regarding the seriousness of low body weight (D)</p> Signup and view all the answers

What is a key characteristic of the binge-eating/purging type of anorexia nervosa?

<p>Regular engagement in self-induced vomiting or misuse of laxatives. (A)</p> Signup and view all the answers

What physical effect is most closely associated with anorexia nervosa (AN)?

<p>Significantly low blood pressure. (B)</p> Signup and view all the answers

What is a potential psychological warning sign of Anorexia Nervosa?

<p>Preoccupation with body shape and weight (B)</p> Signup and view all the answers

Radical changes in food preferences can be a behavioral warning sign of which eating disorder?

<p>Anorexia Nervosa (A)</p> Signup and view all the answers

What behavioral warning sign is most indicative of bulimia nervosa (BN)?

<p>Frequent trips to the bathroom, especially after meals (D)</p> Signup and view all the answers

What is a behavioural warning sign of Binge Eating Disorder (BED)?

<p>Evidence of binge eating, such as disappearance or hoarding of food. (B)</p> Signup and view all the answers

What is typically experienced during a binge eating episode in the context of Binge Eating Disorder (BED)?

<p>Eating until feeling uncomfortably full (B)</p> Signup and view all the answers

Which of the following is a commonly observed psychological characteristic of Binge Eating Disorder (BED)?

<p>Extreme body dissatisfaction and shame (C)</p> Signup and view all the answers

What is one of the psychological factors associated with eating disorders?

<p>Feelings of inadequacy (A)</p> Signup and view all the answers

According to psychodynamic theories and Hilde Bruch (1970's), what might eating disorders represent?

<p>A solution or camouflage for the problems of living (D)</p> Signup and view all the answers

According to psychodynamic theory, what is essential for full recovery from an eating disorder?

<p>Understanding and treating the cause and adaptive function that the eating disorder serves (D)</p> Signup and view all the answers

Within cognitive behavioural theories, what role does the fear of increased weight play in eating disorders?

<p>It can make weight loss a powerful reinforcer. (A)</p> Signup and view all the answers

What is one function that cognitive distortions may serve in individuals with eating disorders?

<p>Providing a sense of safety and control (A)</p> Signup and view all the answers

In the treatment of anorexia nervosa, what is the FIRST priority?

<p>Helping the patient gain weight in order to avoid medical complications (B)</p> Signup and view all the answers

What is a component of anorexia nervosa treatment?

<p>Long-term maintenance of weight gain. (B)</p> Signup and view all the answers

What is the emphasis of Maudsley Anorexia Nervosa Treatment for Adults (MANTRA)?

<p>Addressing factors that maintain the anorexia in the individual. (C)</p> Signup and view all the answers

What do treatment approaches do for people who study or work?

<p>The treatment approaches makes it so that the therapy can be done alongside the daily activities. (C)</p> Signup and view all the answers

The family-based therapy is the most established treatment for which disorder?

<p>Bulimia Nervosa (C)</p> Signup and view all the answers

To treat Bulimia, what does CBT focus on?

<p>Challenging beliefs that encourage food restriction patterns. (C)</p> Signup and view all the answers

What is one potential physical consequence of bulimia?

<p>Worn-away tooth enamel. (B)</p> Signup and view all the answers

Which of the following is a physical problem associated with anorexia?

<p>Osteoporosis (A)</p> Signup and view all the answers

According to research with Hudson et al. (2007), people with eating disorders experience:

<p>Higher rates of other mental disorders (B)</p> Signup and view all the answers

Why can it be useful to know about societal impacts on mental health?

<p>It may teach the impact of society and culture on mental wellbeing. (D)</p> Signup and view all the answers

Eating disorders should not be considered to be:

<p>A lifestyle (B)</p> Signup and view all the answers

If you're concerned about a friend and suspect they have an eating disorder, what should you do?

<p>Gently inquire about their wellbeing and express your concern. (A)</p> Signup and view all the answers

When trying to spot the warning signs for a possible eating disorder, what can you consider?

<p>Eating habits, thoughts and feelings, physical and social activities, health and mental wellbeing (C)</p> Signup and view all the answers

What is the BEST initial approach when a friend shows potential signs of an eating disorder?

<p>Be willing to back off if your support isn't welcome. (A)</p> Signup and view all the answers

Why is it that an eating disorder is more than just being 'always too thin'?

<p>The patient can be normal or overweight. (A)</p> Signup and view all the answers

Why should you show encouragement and support to a friend when they mention they are suffering from an eating disorder?

<p>Encourage/support them to seek help. (A)</p> Signup and view all the answers

With eating disorders, why is it important to show a duty of care?

<p>Eating disorders are often associated with other issues. (C)</p> Signup and view all the answers

What is a significant challenge in eating disorder treatment research, particularly randomized controlled trials?

<p>Poor participant enrolment and high dropout rates (A)</p> Signup and view all the answers

What is the BEST treatment for Bulimia Nervosa (BN) and Binge Eating Disorder (BED)?

<p>Cognitive Behavioural Therapy (CBT) (C)</p> Signup and view all the answers

Which of the following statements best reflects the purpose of psychodynamic theories in the context of eating disorders?

<p>To understand the eating disorder's underlying cause and to address the eating disorder's adaptive function. (C)</p> Signup and view all the answers

Imagine an individual presents with the core diagnostic features of anorexia nervosa (AN) but expresses no fear in relation to weight gain. How would you explain this?

<p>An individual may be so underweight that their brains are starved. (C)</p> Signup and view all the answers

There has been a large increase in the number of obese people but cases of anorexia nervosa have remained the same. What does this mean?

<p>It suggests that AN is not just about weight, not just a lifestyle choice, and there are other things going on. (C)</p> Signup and view all the answers

Which of the following is a diagnostic criterion for Anorexia Nervosa (AN) according to the DSM-5?

<p>Persistent restriction of energy intake leading to significantly low body weight. (A)</p> Signup and view all the answers

What does the 'restricting type' of anorexia nervosa PRIMARILY involve?

<p>Severe limitation of food intake, potentially following obsessive rules. (D)</p> Signup and view all the answers

Frequent trips to the bathroom, particularly after meals, MOST likely indicates?

<p>Bulimia Nervosa (BN) (B)</p> Signup and view all the answers

Which of the following BEST describes a binge-eating episode?

<p>Eating until experiencing pain or discomfort (C)</p> Signup and view all the answers

What psychological effect is MOST often associated with Binge Eating Disorder (BED)?

<p>Self-loathing and guilt (A)</p> Signup and view all the answers

A preoccupation with preparing food for others while avoiding consuming it oneself could be a warning sign for which disorder?

<p>Anorexia Nervosa (AN) (C)</p> Signup and view all the answers

According to DSM-5, which criterion is essential for diagnosing bulimia nervosa (BN)?

<p>Recurrent inappropriate compensatory behaviors to prevent weight gain (C)</p> Signup and view all the answers

What differentiates rumination disorder from other eating disorders?

<p>Repetitive, habitual bringing up of food that might be partly digested. (A)</p> Signup and view all the answers

What is a primary focus within cognitive behavioral theories regarding eating disorders?

<p>Treating maladaptive thought patterns (D)</p> Signup and view all the answers

According to cognitive behavioral theories, what role does 'fear' play in the development and maintenance of bulimia?

<p>Of increased weight and body image distortion (C)</p> Signup and view all the answers

According to psychodynamic theories, what is crucial for the full recovery from an eating disorder?

<p>Understanding and treating the cause, adaptive function, or purpose that the eating disorder serves. (B)</p> Signup and view all the answers

Which long standing psychotherapy has demonstrated equivalent long-term effectiveness to Cognitive Behavioral Therapy (CBT) in treating Bulimia Nervosa?

<p>Interpersonal Therapy (IPT) (D)</p> Signup and view all the answers

An individual with anorexia nervosa (AN) may present with an intense fear of gaining weight, even when underweight, alongside a BMI of 15. How would a therapist BEST reconcile this seemingly irrational fear within a cognitive behavioral framework?

<p>Examining the function of the fear, exploring associated cognitive distortions, and challenging maladaptive beliefs about weight and self-worth. (B)</p> Signup and view all the answers

What is a common characteristic of individuals diagnosed with Anorexia Nervosa (AN) according to the DSM-5?

<p>Persistent lack of recognition of the seriousness of low body weight. (A)</p> Signup and view all the answers

Which of the following behaviors characterizes the 'purging' subtype of bulimia nervosa?

<p>Misuse of diuretics (D)</p> Signup and view all the answers

According to the DSM-5 criteria, what is essential for diagnosing Binge Eating Disorder (BED)?

<p>Experiencing a sense of lack of control during binge eating episodes. (B)</p> Signup and view all the answers

In the context of eating disorders, what does the term 'pica' refer to?

<p>Eating non-food substances with no nutritional value. (C)</p> Signup and view all the answers

Which statement accurately describes Avoidant/Restrictive Food Intake Disorder (ARFID)?

<p>It includes eating smaller amounts of food, or avoiding certain foods or food groups. (C)</p> Signup and view all the answers

According to the DSM-5, what is a common criterion for 'Unspecified Feeding or Eating Disorder' (UFED)?

<p>The individual's symptoms do not align with a specific eating disorder, and more information is needed. (A)</p> Signup and view all the answers

What behavior is MOST indicative of the binge-eating/purging type of anorexia nervosa (AN)?

<p>Regularly engaging in self-induced vomiting or misusing laxatives. (A)</p> Signup and view all the answers

According to the slides, which of the following BEST describes the physical effects of anorexia nervosa (AN)?

<p>Poor circulation, irregular heartbeat and cardiac arrest (D)</p> Signup and view all the answers

What is a common psychological indicator of anorexia nervosa (AN)?

<p>Preoccupation with eating, food and/or body shape (C)</p> Signup and view all the answers

Radical changes in food preferences, such as suddenly avoiding entire food groups, may be a warning sign for which disorder?

<p>Anorexia Nervosa (AN) (D)</p> Signup and view all the answers

Frequent trips to the bathroom immediately following meals is a behavioral warning sign that BEST correlates with which eating disorder?

<p>Bulimia Nervosa (BN) (B)</p> Signup and view all the answers

What statement BEST characterizes binge eating episodes?

<p>Eating until uncomfortably full (C)</p> Signup and view all the answers

What psychological factor is an individual with Binge Eating Disorder (BED) MOST likely to experience?

<p>Extreme body dissatisfaction and shame (B)</p> Signup and view all the answers

Hiding food wrappers and containers around the house is a behavioral warning sign most commonly associated with which eating disorder?

<p>Binge Eating Disorder (BED) (D)</p> Signup and view all the answers

Within psychodynamic theories, what core factor is thought to contribute to the development of eating disorders?

<p>Parent-child relationships (A)</p> Signup and view all the answers

According to psychodynamic theory, what factor is ESSENTIAL for FULL recovery from an eating disorder?

<p>Understanding the cause, adaptive function and purpose the eating disorder serves. (B)</p> Signup and view all the answers

According to cognitive behavioral theories, what creates anxiety with individuals that have bulimia?

<p>Increased weight and body-image distortion (C)</p> Signup and view all the answers

In cognitive behavioral theory, what functions do cognitive distortions serve in individuals that have an eating disorder?

<p>They provide a sense of safety and control. (D)</p> Signup and view all the answers

What is the FIRST priority in the treatment of anorexia nervosa?

<p>Helping the patient gain weight in order to avoid medical complications. (B)</p> Signup and view all the answers

Which of the following is a component of anorexia nervosa treatment?

<p>Maintenance of weight gain (A)</p> Signup and view all the answers

Maudsley Anorexia Nervosa Treatment for Adults (MANTRA) places particular emphasis on:

<p>Addressing factors that maintain anorexia (D)</p> Signup and view all the answers

How are treatment approaches designed for managing anorexia nervosa?

<p>So that people who study or work can still do it alongside therapy (C)</p> Signup and view all the answers

Which therapy is generally considered the MOST effective and well-established treatment for youth with bulimia nervosa (BN)?

<p>Family-based therapy (C)</p> Signup and view all the answers

Regarding the slides, what is the general focus of CBT in the treatment of bulimia?

<p>Questioning standards for physical attractiveness (C)</p> Signup and view all the answers

According to the presentation, what can be a physical consequence of bulimia nervosa (BN)?

<p>A sore throat, worn-away tooth enamel, acid reflux, and heart attacks (A)</p> Signup and view all the answers

According to research with Hudson et al. (2007), what is the correlation between people with eating disorders and mental health?

<p>Higher rates of other mental disorders (A)</p> Signup and view all the answers

What can understanding the cultural and societal impacts on mental health achieve?

<p>Promoting more effective and sensitive approaches to supporting those affected (B)</p> Signup and view all the answers

What initial step can be taken if you're concerned about a friend and suspect they have an eating disorder?

<p>Wait until it's a good time for them and enquire gently (D)</p> Signup and view all the answers

What key element should be observed to identify warning signs associated with a potential eating disorder?

<p>Their relationship with food (D)</p> Signup and view all the answers

When a friend mentions they are suffering from an eating disorder, which supportive action is BEST?

<p>Offer encouragment and support (B)</p> Signup and view all the answers

An individual is diagnosed with anorexia nervosa and engages solely in restricting food intake to lose weight. Which subtype of anorexia nervosa best describes this?

<p>Restricting type (A)</p> Signup and view all the answers

According to cognitive behavioral theories, what is the MOST common function that cognitive distortions serve in individuals with eating disorders?

<p>To provide a sense of safety and control over their lives (A)</p> Signup and view all the answers

A therapist using psychodynamic theory to treat a patient with bulimia nervosa would likely focus on:

<p>Exploring past relationship difficulties with parents (B)</p> Signup and view all the answers

Beyond weight restoration and addressing psychological issues, what additional component is CRUCIAL in the three-tiered treatment approach for anorexia nervosa (AN)?

<p>Long-term maintenance of achieved weight gain (A)</p> Signup and view all the answers

A researcher is conducting a study on the prevalence of eating disorders but is struggling to find participants that perfectly align with each DSM-5 classification. What could they classify these as?

<p>Other Specified Feeding or Eating Disorder (OSFED) (A)</p> Signup and view all the answers

Flashcards

What are eating disorders?

Eating too much or too little, or being preoccupied with weight and body shape.

What is Anorexia Nervosa (AN)?

An eating disorder where people are of low weight due to limiting their energy intake and may engage in lots of exercise.

What is Bulimia Nervosa (BN)?

A cycle of eating large quantities of food (binging), and then trying to compensate for overeating by vomiting, taking laxatives or diuretics, fasting, or exercising excessively (purging).

What is Binge Eating Disorder (BED)?

Experiencing a loss of control and eating large quantities of food, over a short period of time (binging), on a regular basis.

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What is Pica?

A feeding disorder in which someone eats non-food substances that have no nutritional value, such as paper, soap, paint, chalk, or ice.

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What is Rumination Disorder?

Repetitive, habitual bringing up of food that might be partly digested.

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What is Avoidant/Restrictive Food Intake Disorder (ARFID)?

Restricted eating by eating smaller amounts of food, or avoiding certain foods or food groups.

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What is Unspecified Feeding or Eating Disorder (UFED)?

When an individual's symptoms do not line up with those of another disorder, or when there is not enough information to determine a more specific diagnosis.

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According to DSM-5, what is a diagnostic criteria of Anorexia Nervosa (AN)?

Persistent restriction of energy intake leading to significantly low body weight.

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According to DSM-5, what is another diagnostic criteria of Anorexia Nervosa (AN)?

Intense fear of gaining weight or persistent behaviour that interferes with weight gain.

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According to DSM-5, what is another diagnostic criteria of Anorexia Nervosa (AN)?

disturbance in the way one's body weight or shape is experienced, or persistent lack of recognition of the seriousness of the current low body weight.

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What is the Restricting type of Anorexia Nervosa?

Severe restriction of food intake and may follow obsessive and rigid rules.

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What is the Binge-eating/purging type of Anorexia Nervosa?

Restriction as above, but also during some bouts the person has regularly engaged in binge-eating OR purging.

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According to DSM-5, what is a diagnostic criteria of Bulimia Nervosa (BN)?

Recurrent episodes of binge eating.

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According to DSM-5, what is a characteristic sign of Binge Eating?

Eating, in a discrete period of time, an amount of food that is larger than most people would eat during a similar period of time and under similar circumstances.

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According to DSM-5, what is another characteristic sign of Binge Eating?

A sense of lack of control overeating during the episode.

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What is a diagnostic criteria of Bulimia Nervosa (BN)?

Recurrent inappropriate compensatory behaviour in order to prevent weight gain, such as self-induced vomiting, misuse of laxatives, diuretics, or other medications, fasting, or excessive exercise.

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According to DSM-5, what is associated with Binge Eating Disorder (BED)?

The binge eating episodes are associated with three or more of the following: -eating much more rapidly than normal -eating until feeling uncomfortably full -eating large amounts of food when not feeling physically hungry -eating alone because of feeling embarrassed by how much one is eating -feeling disgusted with oneself, depressed or very guilty afterward

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What is an effective treatment for AN?

Client and therapist explore strengths, resources, goals and values and develop a plan.

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What does CBT for bulimia focuses on?

CBT for bulimia focuses on questioning society's standard for physical attractiveness, challenging beliefs that encourage severe food restriction, and develop normal eating patterns.

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What do psychodynamic theories emphasise?

Psychodynamic theories of eating disorders emphasise parent-child relationships and personality characteristics.

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What makes weight loss a powerful reinforcer?

Cognitive behavioural theories propose that fear make weight loss a powerful reinforcer.

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What is an important benefit from treatment for AN?

In treatment for AN, helps the patient gain weight in order to avoid medical complications.

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What is another important benefit from treatment for AN?

In treatment for AN, address the psychological aspects of the illness .

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What is long-term maintenance of weight gain in treatment for AN?

To help the patient gain weight in order to avoid medical complications.

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Study Notes

  • Eating disorders are being presented by Dr Louise Cleobury, PM137

Aims

  • The aim is to learn about why it is important to know about eating disorders
  • Also to understand what eating disorders are
  • To identify DSM-V classifications
  • To describe types, signs and symptoms
  • To explore psychological explanations and treatments

Learning Outcomes

  • Students should be able to differentiate between Anorexia Nervosa (AN), Bulimia Nervosa (BN) and Binge Eating Disorder (BED)
  • Students should be able to describe the major symptoms of eating disorders
  • Students should be able to apply knowledge of the theoretical approaches within psychology to explanations and treatment of eating disorders

Importance of Learning About Eating Disorders

  • Eating disorders cause a lot of suffering
  • Early identification and intervention may prevent a lot of harm
  • Knowledge of eating disorders can teach us about interaction between physical and mental health
  • Eating disorders can teach us about the impact of society and culture on mental wellbeing

What are eating Disorders?

  • Eating disorders can involve eating too much or too little
  • Or becoming preoccupied with weight and body shape
  • Men and women of any age can have them, but they occur most commonly in young women aged 13-17
  • Between 2000 and 2009, the number of people diagnosed with an eating disorder (including eating disorder not otherwise specified) for ages 10-49 years rose from 32.3 to 37.2 per 100,000 population
  • It is estimated that between 10% and 25% of those with eating disorders are male
  • Treatment is available so recovery is possible.
  • A complex interaction of genetic, biological, behavioral, psychological and social factors cause eating disorders

DSM-V Classifications

  • Anorexia Nervosa (AN) involves people being of low weight due to limiting their energy intake and may engage in lots of exercise
  • Bulimia Nervosa (BN) involves a cycle of eating large quantities of food (binging), and then trying to compensate for overeating by vomiting, taking laxatives or diuretics, fasting, or exercising excessively (purging)
  • Binge Eating Disorder (BED) involves people experiencing a loss of control and eating large quantities of food, over a short period of time (binging), on a regular basis
  • Pica is a feeding disorder in which someone eats non-food substances that have no nutritional value, such as paper, soap, paint, chalk, or ice
  • Rumination Disorder involves repetitive, habitual bringing up of food that might be partly digested
  • Avoidant/Restrictive Food Intake Disorder (ARFID) involves restricted eating by eating smaller amounts of food, or avoiding certain foods or food groups
  • Other Specified Feeding or Eating Disorder (OSFED) occurs when an individual’s symptoms don’t fit the expected symptoms for anorexia, bulimia or binge eating disorder
  • Unspecified Feeding or Eating Disorder (UFED), happens when an individual’s symptoms do not line up with those of another disorder, or when there is not enough information to determine a more specific diagnosis

Anorexia Nervosa (AN) DSM-5 Criteria

  • To be diagnosed, a person must display:
    • Persistent restriction of energy intake leading to significantly low body weight
    • Intense fear of gaining weight or persistent behaviour that interferes with weight gain
    • Disturbance in the way one's body weight or shape is experienced, or persistent lack of recognition of the seriousness of the current low body weight

Anorexia Nervosa (AN) Subtypes

  • Restricting type involves severe restriction of food intake, maintaining very low calorie count; restricting types of food eaten; eating only one meal a day and may follow obsessive and rigid rules
  • Binge-eating/purging type involves restriction as above, but also during some bouts the person has regularly engaged in binge-eating OR purging

Anorexia Nervosa (AN) Physical Effects

  • Brain: Preoccupation with food/calories, fear of gaining weight, headaches, fainting, dizziness, mood swings, anxiety, depression
  • Hair/skin: Dry skin and lips, brittle nails, thin hair, bruises easily, yellow complexion, growth of thin white hair over body (lanugo), intolerance to cold
  • Heart: Poor circulation, irregular or slow heart beat, very low blood pressure, cardiac arrest, heart failure
  • Blood: Low iron levels (anaemia)
  • Intestines: Constipation, diarrhea, bloating, abdominal pain
  • Hormones: Irregular or absent periods, loss of libido, infertility
  • Kidneys: Dehydration, kidney failure
  • Bones: Loss of bone calcium (osteopenia), osteoporosis
  • Muscles: Muscle loss, weakness, fatigue

Anorexia Nervosa (AN) Psychological Warning Signs

  • Preoccupation with eating, food (or food related activities), body shape, weight and/or appearance
  • Negative or distorted body image, perceiving self to be fat when at a healthy weight/underweight.
  • Intense fear of gaining weight
  • Inability to maintain a normal body weight for age and height
  • Depression and anxiety, mood swings, heightened anxiety around mealtimes
  • Low self-esteem (guilt, self-criticism, worthlessness), feeling out of control
  • Suicidal or self-harm thoughts or behaviours
  • Reduced capacity for thinking and increased difficulty concentrating, impaired school or work performance

Anorexia Nervosa (AN) Behavioral Warning Signs

  • Dieting behavior/ restrictive or rigid eating patterns, rigid thinking (‘black and white’, ‘good and bad foods’)
  • Repetitive or obsessive behaviors relating to body shape and weight, changes in clothing style
  • Eating in private and avoiding meals with other people, secrecy around eating, social withdrawal
  • Compulsive or excessive exercising
  • Radical changes in food preferences (eating ‘safe’ low calorie foods)
  • Obsessive rituals around food preparation and eating
  • Preoccupation with preparing food for others, recipes and nutrition
  • Self harm, substance abuse or suicide attempts

Bulimia Nervosa (BN) DSM-5 Criteria

  • To be diagnosed, a person must display:
    • Recurrent episodes of binge eating
      • eating, in a discrete period of time, an amount of food that is larger than most people would eat during a similar period of time and under similar circumstances
      • a sense of lack of control overeating during the episode
    • Recurrent inappropriate compensatory behavior to prevent weight gain
      • such as self-induced vomiting, misuse of laxatives, diuretics, or other medications, fasting, or excessive exercise

Bulimia Nervosa (BN) Physical Effects

  • Brain: Preoccupation with food and weight, low self-esteem, anxiety, depression
  • Mouth: Erosion of dental enamel, swollen jaw, bad breath, gum disease, tooth decay
  • Throat/oesophagus: Chronic sore throat, indigestion, heartburn, reflux, inflamed or rupture of oesophagus
  • Heart: Irregular or slow heart beat, cardiac arrest, heart failure, low blood pressure, fainting, dizziness
  • Stomach: Ulcers, pain, stomach rupture
  • Intestines: Bowel problems, constipation, diarrhoea, cramps
  • Hormones: Irregular or absent periods, loss of libido, infertility
  • Kidneys: dehydration
  • Skin: calluses on knuckles, dry skin
  • Muscles: fatigue, cramps caused by electrolyte imbalance, tiredness, lethargy

Bulimia Nervosa (BN) Psychological Warning Signs

  • Preoccupation with eating, food, body shape and weight.
  • Sensitivity to comments relating to food, weight, body shape or exercise
  • Low self-esteem and feelings of shame, self loathing or guilt, particularly after eating
  • Distorted body image.
  • Obsession with food and need for control
  • Depression, anxiety or irritability
  • Mood swings, changes in personality, emotional outbursts or depression
  • Extreme body dissatisfaction
  • Loneliness due to self-imposed isolation and a reluctance to develop personal relationships
  • Fear of the disapproval of others if the illness becomes known

Bulimia Nervosa (BN) Behavioral Warning Signs

  • Evidence of binge eating (eating to the point of discomfort)
  • Frequent trips to the bathroom during or shortly after meals (could be evidence of vomiting or laxative use)
  • Vomiting or using laxatives, enemas, appetite suppressants or diuretics
  • Eating in private and avoiding meals with other people
  • Anti social behaviour, spending more and more time alone
  • Repetitive or obsessive behaviours relating to body shape and weight
  • Secretive/deceptive behaviour around food
  • Compulsive or excessive exercising
  • Dieting behaviour
  • Self harm, substance abuse or suicide attempt

Binge Eating Disorder (BED) DSM-5 Criteria

  • To be diagnosed, a person must display:
    • Recurrent episodes of binge eating
      • Eating, in a discrete period of time, an amount of food that is larger than most would eat during a similar period of time and under similar circumstances
      • A sense of lack of control overeating during the episode
    • Binge eating episodes are associated with three or more of the following:
      • Eating much more rapidly than normal
      • Eating until feeling uncomfortably full
      • Eating large amounts of food when not feeling physically hungry
      • Eating alone because of feeling embarrassed by how much one is eating
      • Feeling disgusted with oneself, depressed or very guilty afterward
    • Marked distress regarding binge eating is present
    • Binge eating not associated with recurrent use of inappropriate behaviours as in Bulimia Nervosa to compensate for overeating, such as self-induced vomiting

Binge Eating Disorder (BED) Physical Effects

  • Body : Weight gain, fatigue, lethargy
  • Brain: Low self-esteem, anxiety, depression, guilt, distressed by behaviour
  • Sleep apnoea
  • Heart: High blood pressure, high cholesterol, stroke, heart attack
  • Gallbladder: Gallbladder disease
  • Pancreas: Type 2 Diabetes
  • Kidneys: Chronic kidney problems, kidney failure
  • Bones: Osteoarthritis

Binge Eating Disorder (BED) Psychological Warning Signs

  • Overwhelming sense of lack of control regarding eating behaviour
  • Feelings of extreme distress, sadness, anxiety and guilt during and after a binge episode
  • Preoccupation with eating and food
  • Extreme body dissatisfaction and shame about their appearance
  • Low self esteem and embarrassment over physical appearance
  • Depression, anxiety or irritability
  • Fear of the disapproval of others

Binge Eating Disorder (BED) Behavioral Warning Signs

  • Evidence of binge eating (e.g. disappearance or hoarding of food)
  • Eating more rapidly than normal, eating when not physically hungry
  • Periods of uncontrolled, impulsive or continuous eating whereby a person may consume many thousands of calories, often to the point of feeling uncomfortably full
  • Secretive behaviour relating to food (e.g. hiding food and food wrappers around the house)
  • Increased isolation and withdrawal from activities previously enjoyed, avoiding social situations, particularly those involving food
  • Erratic behaviour (e.g. shoplifting food or spending large amounts of money on food)
  • Self harm, substance abuse or suicide attempts

Psychological factors to eating disorders

  • Low Self-Esteem
  • Feelings of inadequacy or lack of control in life
  • Depression, anxiety, anger, or loneliness

Psychological Explanations

  • Psychodynamic theories of eating disorders emphasise parent-child relationships and personality characteristics
  • Hilde Bruch (1970’s): “…a solution or camouflage for the problems of living.”
  • Full recovery involves understanding and treating the cause, adaptive function, or purpose that the eating disorder serves
  • Symptoms are seen as expressions of a struggling inner self that when addressed can aid recovery
  • Cognitive behavioral theories propose that fear (caused by faulty cognitions) of increased weight and body-image distortion make weight loss a powerful reinforcer
  • Among patients with bulimia, negative affect and stress precipitate binges that create anxiety, which is then relieved by purging

Cognitive theories – Functions that cognitive distortions serve

  • Provide a sense of safety and control
  • Reinforce the eating disorder as a part of the individual's identity
  • Help provide an explanation or justification of behaviours to other people

Treatments for eating Disorders

  • Therapy for anorexia is generally believed to be a three-tiered process:
    • To help the patient gain weight to avoid medical complications
    • To address the psychological aspects of the illness
    • To achieve long-term maintenance of weight gain
  • For adults with anorexia nervosa, no one specialist treatment has been shown to be superior (Carter et al., 2011)
  • Maudsley Anorexia Nervosa Treatment for Adults (MANTRA) tries to address factors that are known to maintain the anorexia in the individual
  • Client and therapist explore strengths, resources, goals and values and develop a plan
  • A treatment is designed so that people who study or work can still do it alongside their daily activities
  • An approach is collaborative and motivational and includes monitoring of risk, addresses nutrition and also involves families and close others if that is considered helpful
  • Cognitive Behavioral Therapy (CBT) is most well-established for the treatment of BN, with Interpersonal Therapy (IPT) demonstrating equivalent long-term effects (Fairburn et al., 1993; Agras et al., 2000; Rieger et al., 2010; Brown & Keel, 2012; Hay, 2012; Murphy et al., 2012)
  • The overall goal of treatment in bulimia is to develop normal eating patterns
  • CBT for bulimia focuses on questioning society’s standard for physical attractiveness, challenging beliefs that encourage severe food restriction, and develop normal eating patterns
  • Maudsley family-based therapy is the most established treatment for youth with BN

Why is it important to seek treatment?

  • Eating disorders can devastate the body
    • Physical problems associated with anorexia include anaemia, constipation, osteoporosis, even damage to the heart and brain
    • Bulimia can result in a sore throat, worn-away tooth enamel, acid reflux, and heart attacks
    • People with binge eating disorder may develop high blood pressure, cardiovascular disease, diabetes, and other problems associated with obesity
  • People with eating disorders suffer higher rates of other mental disorders including depression, anxiety disorders, and substance abuse than people without an eating disorder (Hudson et al., 2007)
  • Researchers don't know whether eating disorders are symptoms of such problems or whether the problems develop because of the isolation, stigma, and physiological changes wrought by the eating disorders themselves

What an eating disorder is not

  • A choice
  • A lifestyle
  • Odd eating habits
  • Picky eating
  • Culturally normal preoccupation with weight or shape
  • Always too thin – can be normal or overweight

What can help

  • Gentle enquiry when it’s a good time
  • Being willing to back off if not welcome
  • Flag concerns and be available to talk when ready
  • Show care and concern
  • Encouragement and support (e.g. to seek help – offer to go with him/her, or help him/her make a list of questions and concerns)

Organizations that can help

  • Beat provides helplines for adults and young people offering support and information about eating disorders. These helplines are free to call from all phones
  • Wellbeing (Student Support Services - Swansea University)
  • Welfare@CampusLife (Welfare@CampusLife - Swansea University)
  • The NHS non-emergency number - 111
  • Samaritans: 116 123 (free from any phone)
  • Shout: a text service if you prefer not to talk – 85258
  • Mind has a list of mental health crisis helplines (Helplines and listening services – Mind)

Things to look out for

  • Dramatic weight loss
  • Lying about how much and when they've eaten, or how much they weigh
  • Eating a lot of food very fast
  • Going to the bathroom a lot after eating, often returning looking flushed
  • Excessively or obsessively exercising
  • Avoiding eating with others or eating alone
  • Cutting food into small pieces or eating very slowly
  • Wearing loose or baggy clothes to hide their weight loss
  • Regularly giving reasons for not eating(‘I’ve already eaten’, ‘I’ll eat when I get home’)
  • Typically eating only ‘healthy’ foods/avoids ‘fattening’/’bad’ foods e.g. fats, carbs
  • Increasing exercise, must exercise even when exhausted
  • Increasing pre-occupation with food – e.g. always cooking lavish meals for others but not self
  • Changes in mood – depressed, irritable
  • Getting more easily tired
  • Always feeling cold
  • Physical symptoms/signs – cold hands, weight loss, pale, postural hypotension (dizzy on standing)

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